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The control group of ten had only thickened fluids and the study group of ten had thickened fluids as well as access to free water[ 29].
However, there are major concerns associated with the prescription of thickened fluids and modified solid consistencies [ 27, 28].
In the implementation phase (stage 2), the recruited patients were monitored for 72 hours while they consumed only the prescribed thickened fluids and modified consistencies.
The control group was allowed only thickened fluids and patients in the intervention group were allowed access to water for a period of five days.
However patient satisfaction was much superior in the study group whereas only one person in the control group was happy with the thickened fluids [ 29].
At the onset of treatment, he was receiving approximately half of his daily nutrition by gastrostomy tube supplemented by a soft texture oral diet with thickened fluids.
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Coronal (a) T2 image shows a thickened fluid-filled appendix (arrow).
The thickened, fluid-filled appendix is labelled in b (small white arrows) Open image in new window Fig. 9 a Increased Doppler signal in a thickened, oedematous appendix in an 8 year-old-boy.
Similarly, the amount of water consumption did not exceed thickened fluid intake for any of the patients.
On the basis of these findings we recommend that acute patients, patients with severe neurological dysfunction and immobility should be strongly encouraged to adhere to a thickened fluid or modified solid consistency diet.
People with dysphagia, who had been prescribed a modified or thickened fluid diet by a Speech Pathologist, over the age of 18 and without a diagnosis of chronic respiratory conditions or prior tracheostomy, were eligible for inclusion.
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